Victoria S Evans, OTR L

Individual provider Active NPI Occupational Therapy Assistant · Georgetown, IN

NPI 1033322110 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033322110
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
R2518 (KY)
Practice address
1504 Allen Dr
Georgetown, IN 47122
Phone
(502) 541-6690
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R2518KYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Safeworks Healthcare Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X R2518 KY Yes

Addresses

Primary practice location

1504 Allen Dr
Georgetown, IN 47122

Mailing address

1504 Allen Dr
Georgetown, IN 47122

Other names

  • Victoria S Stevens Former name

Other providers in Georgetown, IN

All providers in Georgetown, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.